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ISMS finds members struggle with downcoding practices

16 Jun 2026 5:31 PM | Deborah Hodges (Administrator)

Health News Illinois reported that Illinois is considering regulations on the use of artificial intelligence for an insurance billing practice where a procedure or service is billed at a lower level than what was actually provided, a new report from the state’s medical society said it has been a frequent issue for its members. [Health News Illinois]

The report from the Illinois State Medical Society found nearly three-quarters of the state’s physicians and healthcare professionals have experienced automatic downcoding of appropriately documented claims.

For more details, also visit Health News Illinois. 

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